Pr moderate sedation same physician >= 5 years initial 15 minutes at WellSpan Surgery & Rehabilitation Hospital
55 Monument Road, York PA 17403, PA · Wellspan · · NPI 1760787576
$375.20
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$469.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$12.38 with Geisinger_Medicaid vs $445.55 with Johns_Hopkins_HealthCare_Plan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Geisinger_Medicaid | All_Plans | $12.38 | ↓ -97% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $12.38 | ↓ -97% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $12.38 | ↓ -97% |
| Health_Partners_Medicaid | All_Other_Plans | $12.38 | ↓ -97% |
| UPMC_Medicaid | All_Plans | $12.38 | ↓ -97% |
| Amerihealth_Caritas_Medicaid | All_Plans | $14.06 | ↓ -96% |
| Aetna_Better_Health_Kids | All_Plans | $33.66 | ↓ -91% |
| Blue_Cross | Capital_Cares_4_kids | $263.33 | ↓ -30% |
| Blue_Cross | Capital_Blue_Performance_PPO | $271.50 | ↓ -28% |
| Blue_Cross | All_Other_Plans | $376.18 | ↑ +0% |
| Aetna | All_Plans | $391.15 | ↑ +4% |
| First_Health_Network | All_Plans | $391.15 | ↑ +4% |
| Cigna | All_Plans | $420.41 | ↑ +12% |
| United_Healthcare | All_Plans | $425.85 | ↑ +13% |
| WellSpan_Capital_Blue_Cross | All_Plans | $431.48 | ↑ +15% |
| UPMC | UPMC_For_Kids | $436.17 | ↑ +16% |
| UPMC | All_Plans | $436.17 | ↑ +16% |
| Geisinger | All_Plans | $439.22 | ↑ +17% |
| PHC | All_Plans | $445.55 | ↑ +19% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $445.55 | ↑ +19% |
Visitor-reported prices
Comments
Pr moderate sedation same physician >= 5 years initial 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $223.20 | $9.90 – $297.60 |
| UPMC Bedford | Everett | $138.00 | $10.39 – $207.00 |
| UPMC Carlisle | Carlisle | $831.60 | $12.57 – $1,178.10 |
| UPMC Cole | Coudersport | $21.00 | $9.70 – $64.78 |
| UPMC Community Osteopathic | Harrisburg | $831.60 | $12.57 – $1,178.10 |
| UPMC East | Monroeville | $377.40 | $10.89 – $503.20 |
| UPMC Hamot | Erie | $725.40 | $10.89 – $64.78 |
| UPMC Northwest | Seneca | $138.00 | $10.89 – $64.78 |